Direct PBM Services DpRx provides full or partial PBM services based on the desires of the client. A full service PBM takes control of the entire process by implementing the following components of a full-service PBM:

	Pharmacy staff to assist pharmacies and physicians, development of benefit plans, manage PAR allocations and construct and manage the type Formulary selected by the client.
	Man and administer a 1, 2 or 3 shift Help Desk with Pharmacy technicians adequate to respond to all calls within a prescribed response time criterion.
	Implement and maintain a 24x7 Real-time, online Drug Claims processing computer system operating under standard carriers or by Internet connections.
	Negotiate and manage an effort to secure the highest Rebate returns to optimize the client’s net PMPM costs.
	Provide extensive management reporting for the establishment client priorities to ensure the adherence to client objectives of outcome performance and member satisfaction.

     The primary elements of PBM cost in this scenario are provided by a rate schedule that includes at least the following unbundled components for client evaluation of PBM performance.

	Reimbursement of Providers at negotiated discounts and dispensing fees,
	Administrative charge by paid claims,
	Incremental Formulary, deductible/maximum and mail order management fees,
	Help Desk charges by number calls handled and shifts implemented,
	Online fees for client database access and ad hoc report fees.

     After the application of rebate recovery, DpRx expects and projects PMPM costs to be at least 6 to 10% below current costs of alternative PBM services. DpRx will entertain approaches that share the risk with the client.

     Those companies that prefer to maintain a direct involvement is some of the aspects of a PBM (e.g. client Pharmacist management, development of benefit plans, etc.)